Active NPI
Caldwell County Health Department
- Public Health or Welfare Agency
- Kingston, MO
National Provider Identifier
1386718682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- CALDWELL COUNTY HEALTH DEPARTMENT
- Practice address
- 275 South Washington Street
Kingston, MO 64650-0066 - Phone
- (816) 586-2311
- Fax
- (816) 586-2603
- NPI assigned
- Nov 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shelly Sims, RN BSN
- Title
- Administrator
- Phone
- (816) 586-2311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
275 South Washington Street
Kingston, MO 64650-0066
Mailing address
275 South Washington Street
PO Box 66
Kingston, MO 64650-0066
Phone (816) 586-2311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
255 W Main St
Kingston, MO 64650
Phone (816) 586-2311
275 S Washington St
Kingston, MO 64650
Phone (816) 586-2311
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Saint Joseph, MO
- NPI 1417162132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1386718682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 SOUTH WASHINGTON STREET",
"address_2": "PO BOX 66",
"city": "KINGSTON",
"state": "MO",
"postal_code": "646500066",
"telephone_number": "816-586-2311",
"fax_number": "816-586-2603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 SOUTH WASHINGTON STREET",
"city": "KINGSTON",
"state": "MO",
"postal_code": "646500066",
"telephone_number": "816-586-2311",
"fax_number": "816-586-2603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALDWELL COUNTY HEALTH DEPARTMENT",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SIMS",
"authorized_official_first_name": "SHELLY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "816-586-2311",
"authorized_official_credential": "RN BSN"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.